oral med Flashcards

1
Q

Common causes of angular chelitis:

A

Often presents with an associated candidal / staph infection.
- iron deficiency
- B12 deficiency
- folate deficiency

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2
Q

A 50 year old man presents with multiple crusting lesions and ulcers on the LHS of his face. He noticed a tingling sensation beforehand and the rash has been present for a week.
Which virus is the potential cause?

A

herpes zoster

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3
Q

Which virus is associated with the development of hairy leukoplakia?

A

epstein barr virus

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4
Q

Which form of candidal infection has a risk of becoming malignant?

A

chronic hyperplastic candidiasis

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5
Q

Target lesions are commonly seen in which type of condition?

A

erythema multiforme
combined with oral lesions and eye problems - type 3 sensitivity reaction in response to medications.

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6
Q

Features of Minor RAS

A
  • occurs on non-keratinised mucosa
  • present in the front of the mouth
  • lasts up to 2 weeks
  • heal without scarring
  • up to 1cm in size
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7
Q

Shillings Test can be done to identify which deficiency?

A

B12

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8
Q

A 14 year old presents with bilateral, painful enlargement of the parotid gland.
What is the likely diagnosis?

A

mumps

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9
Q

Kaposi’s Sarcoma is associated with which virus?

A

HHV8

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10
Q

Common characteristics of trigeminal neuralgia?

A
  • brief stabbing pain
  • unilateral
  • mandibular branch most commonly impacted
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11
Q

What is the first line drug of choice for trigeminal neuralgia?

A

carbamazepine - (sodium channel blocker)

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12
Q

Which blood tests should be carried out to monitor carbamazepine?

A

liver function tests

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13
Q

What would be a potential complication of temporal arteritis if left untreated?

A

blindness

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14
Q

Squamous cell papilloma’s are commonly caused by which virus?

A

HPV

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15
Q

Syphilis is commonly caused by which bacteria?

A

treponema pallidum

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16
Q

What would be prescribed to a pt suffering from shingles?

A

aciclovir

17
Q

A 20 year old man presents with a buccal swelling associated with his partially erupted wisdom tooth.
Which type of cyst is this most likely to be?

A

paradental cyst

18
Q

What is another name for mumps?

A

acute sialadenitis

19
Q

Which medication can cause a black tongue?

A

heartburn / indigestion meds (pepto-bismol)

20
Q

What is a white/grey lesions that disappears on stretching?

A

leukoedema

21
Q

What is the therapeutic range for warfarin?

A

3-3.5

22
Q

What are sublingual varicosites / varices?

A

Superficial veins on the ventral tongue - increased prevalence with age.

23
Q

What are fordyce spots and where are they found?

A

Ectopic / superficial sebaceous glands on commissure.
Multiple yellow coloured granules.

24
Q

What are fimbrae plicate?

A

Fabricated fold of tongue that runs either side of lingual frenulum - normal residual tissue.

25
Q

What are tori and where are they usually found?

A

Bony exostosis that slowly grow.
Found on the midline of hard palate OR lingual surface of the mandible.

26
Q

When can the presence of tori become an issue?

A

When dentures are required.

27
Q

What is linea alba?

A

A white line on the buccal mucosa - area of keratosis due to occlusion.

28
Q

What is leukoplakia and what causes it?

A

White patches of questionable risk that carry no increased risk of cancer.

29
Q

What is erythroleukoplakia?

A

HIGH RISK LESION
Red, velvety plaque that cannot be characterised as any other recognisable condition.

30
Q

What is speckled leukoplakia?

A

syn = erythroleukoplakia
(mixed lesion, HIGH RISK)

31
Q

Outline the differences between the 2 types of blister.

A

vesicle - small blister (<5mm)
bulla - large blister (<5mm)

32
Q

What is a vesicle?

A

Small blister - <5mm

33
Q

What is a bulla?

A

Large blister - >5mm